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Billing Clerk / Specialist
West Palm Beach, FL

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Medical Billing & Denial Management Specialist

Job Description

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Job Title:
Medical Billing & Denial Management Specialist Location:
West Palm Beach, FL (On-Site)
Working Schedule:
M-F 8:00am-4:30pm (Training 9am-5pm)
Pay Rate:
$20.00 - $25.00/hour (based on experience) Position Overview We are seeking an experienced Medical Insurance Follow-Up & Denials Specialist to join our Revenue Cycle team. This position is responsible for high-volume insurance follow-up, EOB review, denial management, appeals, and claim resolution for multiple physician practices and hospitals. Candidates must have recent experience working medical accounts receivable, insurance collections, and payer portals in a fast-paced billing environment. Required Experience
  • 2-3+ years of Medical Insurance Accounts Receivable (AR) experience
  • Experience reviewing Explanation of Benefits (EOBs)
  • Strong Denial Management experience
  • Insurance Follow-Up on commercial, Medicare, and Medicaid claims
  • Experience handling 40-50+ claims per day
  • Appeals writing and claim reconsiderations
  • Experience with Change Healthcare/Payerpath or similar clearinghouses Key Responsibilities
  • Manage and collect on a high volume of medical claims (40-50 daily)
  • Follow up with insurance carriers regarding outstanding claims
  • Utilize clearinghouse tools such as Payerpath/Change Healthcare
  • Research and resolve claim issues using insurance portals and online resources
  • Prepare and submit appeals letters to ensure claim approval
  • Handle inbound patient calls, including resolving billing questions and concerns
  • Maintain accurate documentation and protect sensitive patient information (HIPAA compliance) Qualifications
  • 2-3+ years of medical collections experience (required)
  • Experience working with high-volume claims (billing company experience preferred)
  • Proficiency with:
  • Practice Management software
  • Microsoft Office (Word, Excel)
  • Google Workspace (Gmail, Google Drive)
Knowledge of:
  • ICD-10 coding
  • 10-key data entry with speed and accuracy
  • Experience with clearinghouses (Payerpath/Change Healthcare preferred; others accepted)
  • Strong internet research skills and familiarity with insurance portals
  • Excellent written communication skills (especially for appeals)
  • Strong customer service skills with ability to handle sensitive or difficult conversations Work Environment & Schedule
  • Business casual office environment
  • Typical hours: 8:00 AM - 4:30 PM (flexibility may be required)
  • Minimal overtime (only during special projects) #WPB

Benefits

  • Dental Insurance